دورية أكاديمية
أعرض في EDS

Geometrical restoration during total hip arthroplasty is related to change in gait pattern - a study based on computed tomography and three-dimensional gait analysis.

التفاصيل البيبلوغرافية
العنوان: Geometrical restoration during total hip arthroplasty is related to change in gait pattern - a study based on computed tomography and three-dimensional gait analysis.
المؤلفون: Esbjörnsson AC; Department of Clinical Sciences Lund, Orthopaedics, Lund University, Skane University Hospital, 221 85, Lund, Sweden. anna-clara.esbjornsson@med.lu.se., Kiernan S; Department of Clinical Sciences Lund, Orthopaedics, Lund University, Skane University Hospital, 221 85, Lund, Sweden., Mattsson L; Prophysics SOL, Jungmansvägen 3, 24335, Höör, Sweden., Flivik G; Department of Clinical Sciences Lund, Orthopaedics, Lund University, Skane University Hospital, 221 85, Lund, Sweden.
المصدر: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2021 Apr 20; Vol. 22 (1), pp. 369. Date of Electronic Publication: 2021 Apr 20.
نوع المنشور: Clinical Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2000-
مواضيع طبية MeSH: Arthroplasty, Replacement, Hip* , Hip Prosthesis*, Gait ; Gait Analysis ; Hip Joint/surgery ; Humans ; Prospective Studies
مستخلص: Background: The effect of change in hip anatomy on change in gait pattern is not well described in current literature. Therefore, our primary aim was to describe and quantify changes in hip geometry and gait pattern 1 year after total hip arthroplasty (THA) in individuals with hip osteoarthritis. Our secondary aim was to explore the effect of postoperative change in femoral neck anteversion (FNA) and femoral offset and acetabular offset (FO/AO) quota on postoperative change in hip rotation and hip adduction moment during gait, respectively, 1 year after THA".
Methods: Sixty-five individuals with primary hip osteoarthritis, scheduled for THA, were analyzed in this prospective intervention study. Participants were evaluated pre- and 1 year postoperatively with computed tomography-scans, three-dimensional gait analysis, and patient-reported outcome measures. Multiple linear regressions were performed to evaluate the association between change in joint anatomy and change in gait pattern after THA.
Results: One year postoperatively, global offset was symmetrical between sides as a result of decreased acetabular offset and increased femoral offset on the operated side. Quality of overall gait pattern improved, and participants walked faster and with less trunk lean over the affected side. FNA and hip rotations during walking changed equally in external and internal directions after THA and change in hip rotation during walking was associated with change in FNA in the same direction. An increase in external hip adduction moments was, on the other hand, not associated with change in FO/AO quota but with a more upright walking position and increased walking speed.
Conclusions: The findings of this study suggest that geometrical restoration during THA impacts postoperative gait pattern and, in addition to known factors such as FO, height of hip rotation center, and leg length discrepancy, the FNA must also be taken into consideration.
Trial Registration: Trial registration: Clinicaltrial.gov , NCT01512550 , Registered 19 January 2012 - Retrospectively registered.
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فهرسة مساهمة: Keywords: Computed tomography; Femoral neck anteversion; Femoral offset; Gait analysis; Hip joint moments; Hip osteoarthritis; Hip rotation; Total hip arthroplasty
سلسلة جزيئية: ClinicalTrials.gov NCT01512550
تواريخ الأحداث: Date Created: 20210421 Date Completed: 20210514 Latest Revision: 20220531
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8058981
DOI: 10.1186/s12891-021-04226-4
PMID: 33879123
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2474
DOI:10.1186/s12891-021-04226-4